宮腹腔鏡聯(lián)合治療輸卵管性不孕癥的臨床分析

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1、宮腹腔鏡聯(lián)合治療輸卵管性不孕癥的臨床分析曲曉力1賀紅英1鐘華1韋靜曾定元2（通訊作者）（1廣西醫(yī)科大學(xué)第四附屬醫(yī)院<柳州市工人醫(yī)院>婦產(chǎn)科廣西柳州545005）（2柳州市婦幼保健醫(yī)院婦產(chǎn)科廣西柳州545001）【摘要】目的：分析宮腹腔鏡聯(lián)合治療輸卵管性不孕癥的臨床意義。方法：木研究對(duì)象選取2012年2月至2013年8月80例輸卵管性不孕癥住院患者，根據(jù)隨機(jī)原則分成宮腔鏡組和宮腹腔鏡組。所有患者行輸卵管插管通液手術(shù)，其中宮腔鏡組患者僅在宮腔鏡下實(shí)施手術(shù)，宮腹腔鏡組患者在宮腹腔鏡聯(lián)合下實(shí)施手術(shù)。對(duì)比兩組患者輸卵管再通率、2年內(nèi)正常妊娠率的差異。結(jié)果：宮腔鏡組患者

2、術(shù)后輸卵管通暢率為85.00%,2年內(nèi)妊娠率為55.00%。宮腹腔鏡組患者術(shù)后輸卵管通暢率為100.00%,2年內(nèi)妊娠率為75.00%。宮腹腔鏡組輸卵管再通率、2年內(nèi)正常妊娠率均顯著宮腔鏡組，經(jīng)χ2檢驗(yàn)行統(tǒng)計(jì)學(xué)處理顯示上述2項(xiàng)指標(biāo)差異顯著（PV0.05）。結(jié)論：宮腹腔鏡聯(lián)合治療輸卵管性不孕癥的臨床效果確切，可有效提高輸卵管再通率、正常妊娠率，值得在臨床推廣應(yīng)用?！娟P(guān)鍵詞】宮腹腔鏡聯(lián)合治療；輸卵管性不孕癥；臨床效果【中圖分類號(hào)】R714【文獻(xiàn)標(biāo)識(shí)碼】A【文章編號(hào)】2095-1752（2016）18-0053-02Clinicalanalysisofhysteros

3、copycombinedwithlaparoscopyinthetreatmentoftubalinfertilityQuXiaoli,HeHongying,ZhongHua.TheFourthAffiliatedHospitalofGuangxiMedicalUniversity（LiuzhouWorker'sHospital）,Guangxi,Liuzhou545005,China;WeiJing,ZengDingyuan（correspondingauthor）.MaternalandChildHealthHospitalofLiuzhouCity,Guangxi

4、,Liuzhou545001,China,China【Abstract】ObjectiveToanalyzeLaparoscopycombinedtreatmentoftubalinfertilityclinicalsignificanee.MethodsThisstudyselectedobjectsfromFebruary2012toAugust201380casesoftubalinfertilityhospitalizedpatientsweredividedintogroupsandhysteroscopylaparoscopygroupaccordingto

5、therandomprinciple.Allpatientsunderwentsurgicalfluidthroughthefallopiantube,wherehysteroscopicsurgerypatientsonlyunderhysteroscopy,laparoscopypatientsinlaparoscopysurgeryjointly.Comparedtwogroupsofpatientswithfallopiantuberecanalizationrate,thediffereneebetweennormalpregnancytwoyears.Res

6、ultsThepostoperativehysteroscopictubalpatencyratewas85.00%ofpatients,thepregnancyratewas55.00%within2years.Patientslaparoscopygrouptubalpatencyrate100.00%,thepregnancyratewas75.00%within2years?Laparoscopygrouptubalrecanalizationrate,twoyearsofnormalpregnancyweresignificantlyhysteroscopyg

7、roup,thestatisticalX2testrowdisplayingthetwoindexesweresignificantlydifferent(P<0.05).ConclusionTheclinicaleffectoflaparoscopycombinedwithtubalinfertilityexact,caneffectivelyimprovethefallopiantuberecanalizationrate,normalpregnancy,worthyofclinicalapplication.【Keywords